Hi Lisa-w.
You are NOT useless! You are suffering!
You don't say what patch you are on, but there are other options for you.
There are other h.r.t.'s for you to try out. It's not easy, but keep going, until you find one.
I know what you mean about the side effects, and antidepressants scare me to death, after suffering side effects from them, and I'd never try them again, but if they get you some relief, then they're worth it....can you ask your doc to refer you off to a meno clinic?
Or ask for another regime, like I say, it's not easy finding the best hrt that's going to suite you, but it's trial and error, which I and many others of us on here have been through.
Are you peri or post meno?
Have a look at the options in the search bar at the top of the page, it lists the hrt for peri or post meno.
Hang on in there honey, you will get there....
Good luck, let us know how your getting on...
Jd xx